Hoʻomaʻamaʻa pinepine ʻia ka maʻi diabetes mellitus i nā keiki ʻōpio i kahi manawa holomua, ke ulu ʻana ka ketoacidosis a i ʻole coma. I kēia manawa, paʻakikī loa ka palaka no ka mālama ʻana, ʻoiai ke loli nei ka loli o ka hormonal i pili i ka poperty.
ʻO kēia, ke lilo nei i kumu nui o ka kū ʻana o ka insulin i ka hormone, ʻo ia hoʻi, nalowale nā ʻili i ko lākou naʻau. ʻO ka hopena, ke piʻi aʻe o ke kō koko koko.
I nā kaikamahine, ʻikeʻia ka maʻi diabetes i nā makahiki 10-14 o nā makahiki, he maʻi nā keikikāne mai ka 13-14 makahiki aku, a ma ka mua ma mua o ka maʻi ʻoi aku ka paʻakikī, a ma ka hopena he mea maʻalahi loa ka loaʻa ʻana o ka uku.
ʻO ke kumu o ke kō koko koko i nā makahiki 15 i nā makahiki he 3.3. a hiki i ka 5.5 mmol / l a hoʻokō i nā kūlana o kahi pākeke. No ka wehewehe ʻana i ka maʻi maʻi, ua hōʻike ʻia e hāʻawi hou i ke koko, e hōʻoia ʻia ke kaʻina a hōʻole paha i ka maʻi maʻi.
Pono ka lapaʻau o ka hyperglycemia i nā'ōpiopio i ka hoʻopiʻi ʻana no ka maʻi maʻi, hoʻomaʻamaʻa i nā pae glucose a mālama i ka maikaʻi, a hoʻemi i ke kaumaha o ke kino. Hoʻomaopopo ʻia e koho i ka wai kūpono o ka insulin, e pili pono i ka papaʻai haʻahaʻa haʻahaʻa i nā kākeka, a me ke kau mau ʻana i nā hoʻomaʻamaʻa kino a me ka mea hoʻomaʻamaʻa i ka hana o ka lā maʻamau. He mea nui e pale i nā kūlana koʻikoʻi, hana nui i ka naʻau, overstrain naʻau.
ʻO nā hopena o ka maʻi diabetes i nā wā'ōpiopio
ʻO ka pilikia me ka mālama ʻana he mea paʻakikī loa ia no nā ʻōpio, ʻo ka ʻuhane a me ke kino. Ke hoʻāʻo nei nā keiki e kū ʻole i waena o kā lākou mau hoa, ʻoi loa ka hoʻonāukiuki ʻana i nā mea make, a nalowale i kahi maʻi inikua e hiki mai ana. Ke alakaʻi nei kēia ʻano i nā hopena pōʻino a koʻikoʻi.
Inā ʻaʻole ʻoe e kūpono i ka mālama kūpono ʻole a i ʻole ke keiki i pili i nā manaʻo a pau mai ke kauka, hoʻomaka ʻo ia e lohi i ka hoʻomohala ʻana i ke kino, ʻike ʻia kona ʻike, ʻano nui ka huhū a me ka noʻonoʻo ʻana o ka noʻonoʻo.
I nā kaikamahine, ʻaʻole i haʻalele ʻia nā kāne i hoʻowahāwahā ʻia, nā manuahi o ka honu a me ka ʻeha o ka ʻōpū o ke ʻano o nā ʻōpū kūo i waho. Nui nā ʻōpio i loaʻa i nā maʻi maʻi maʻamau, maʻi, ka hoʻōla o ko lākou hōʻeha i nā manawa lōʻihi, mai kēlā manawa kēia manawa e loaʻa ai ka furunculosis a me nā ʻeha ma ka ʻili.
I ka nui o nā hihia koʻikoʻi, loaʻa kekahi manawa e hoʻomohala i ka ketoacidosis, hiki iā ia ke alakaʻi i kēia hoʻopiʻi ʻia:
- koma;
- ka maʻi kīnā
- hopena hopena.
Me ka hemahema o ka insulin i ka diabetes mellitus o ke ʻano mua, ke hoʻoikaika nei ke kino o nā ʻōpio i nā ala ʻē aʻe e hoʻohemo ai i kahi nui o ka glucose, e wāwahi ana i nā hale momona.
A ke hopena, hana ʻia nā kino ketone, he ʻano ʻano like o ka acetone mai ka puʻuwai waha e hele mai.
Nā kumu kumu o ka Hula
Inā he koko koko nui, pono ʻoe e hoʻomaka i ka hakakā ʻana i ka pilikia ma ka hiki. Pono e ʻike ʻia nā kumu o ka maʻi i nā maʻi ʻoi ʻana o ka huina o ka huina, hiki ke lilo i gastritis, pancreatitis, duodenitis a i ʻole gastroenteritis.
ʻO ka Hyperglycemia paha nā hopena o kahi papa lōʻihi o nā ala hele, nā neoplasms oncological i ka pancreas, congenital a loaʻa nā maʻi o ka lolo. Hiki ke hoʻopili ʻia ke kōpī kiʻekiʻe me nā hōʻeha o ka lolo traumatic a me nā pono o nā lāʻau.
Hiki ke kahakaha kēia ʻano i loko o kahi keiki e kahi ʻano ʻilihune o ka pōloli, ʻai ka ʻōpio me kahi ana ʻole, ʻaʻohe ʻoluʻolu. Ke hopohopo nei kona makaʻu, makaʻu, ʻūlū ka lā, hiki i kona mau maka ke kū i kekahi kūlana. ʻO nā keiki maʻi maʻi he haʻalulu nā lima, nā ʻūʻī o ka ʻiʻo. Ma hope o ka normalization a me ka holomua o ka holomua, ʻaʻole hoʻomanaʻo nā keiki i nā mea i hana iā lākou.
I kēlā mau kūlana, pono ʻoe e hāʻawi i ke keiki i kahi mea momona, hiki iā ia ke:
- kīʻaha me kekahi mau puna wai;
- kukui;
- pata ʻōwili.
Inā ʻaʻole kōkua nā mau kapikina, pono ʻoe e ʻimi e kōkua i ke kōkua olakino, e hoʻokau ke kauka i kahi hopena glucose i intravenously. Inā ʻole kēia ana, hiki i kahi coma.
Hiki i ka Hyperglycemia ke ola me ka paleʻole o ka hormonal, kaʻai nui loa, ma hope o ka ʻai ʻana i nā meaʻai o ke kaloli kiʻekiʻe, ke ʻano lōʻihi me ka lāʻau o nā maʻi āpau, nā glucocorticoids a me nā lāʻau anti-inflammatory non-steroidal.
Inā loaʻa iā ʻoe kahi hōʻailona o kahi pilikia olakino a he malaise paha, pono ʻoe e kamaʻilio i kāu pediatrician, mea lapaʻau, a i ʻole pediatric endocrinologist.
I mea e hana ai i kahi maʻi kūpono, pono ʻoe e hoʻomaʻa i nā diagnostics hou, e ʻike ai i nā hoʻokolohua.
Pehea e hoʻopaʻa ai i nā hoʻokolohua
I mea e loaʻa ai nā hopena hoʻokō kūpono, pono ia e hāʻawi i ke koko no ka kō i ke kakahiaka i ka kakahiaka, pono lākou e hana i kēia ma kahi ʻōpū ʻole, no ka mea maʻa o ka ʻaina ʻai ʻole ka loiloi. Ma mua o ka hoʻopaʻa ʻana, ma kahi o 6 mau hola ʻaʻole e ʻai ʻia, ʻoi aku ka maikaʻi o ka haʻalele ʻana i nā mea inu ʻole koe wale nō ka wai maʻemaʻe.
Lawe ʻia ke koko mai kahi manamana lima a i ʻole veinʻo, i kau ʻia i ke kauka ke kauka. Manaʻo ʻia kahi haʻawina e pili ana i nā kulekele glycemic maikaʻi inā maikaʻi ka nui o ke kōpiha ma mua o 5.5 - 6.1 mmol / l. Inā pono, ua hana ʻia nā mea hou aku e nui e ʻike i ka ʻike.
Hōʻike ia i ka hopena o kahi hōʻike koko i ke kō ma ke kōpaʻa o 2.5 mmol / l, ke ʻano nei kēia ʻano he pathological kekahi, hōʻike pū nō hoʻi i kahi haʻahaʻa glucose i haʻahaʻa loa i ke kino. Inā ʻaʻole ʻoe e hoʻomaʻamaʻa i ke ʻano, hoʻomaka ka pololi oxygen - hypoxia, hoʻomohala ʻana i ka coma glycemic.
ʻO nā kumu maʻamau o ka haʻahaʻa haʻahaʻa haʻahaʻa:
- hele ʻole a paʻa ʻole nā papa o ka papa pancreatic;
- nā maʻi weliweli o ka naʻau, nā kīʻaha koko;
- ka ʻole pili ʻole i nā lula o ka pono, ke ʻano kai o ka meaʻai;
- nā kaʻina hana;
- huehae huehal i pau ole.
Hiki iā ʻoe ke pale aku i kahi ʻōpio mai nā pilikia olakino, no ka mea liʻiliʻi loa ʻelua manawa o ka makahiki e pono ai ʻoe e nīnau i kahi pediatrician a hana i nā hoʻokolokolo inā pono.
I ka wā'ōpiopio, e like me ka poʻe maʻi maʻi, ʻo nā mākau gula koko he nui ka nui o ka ʻōpio, ʻo ka glucose ka mea kaha ikaika. Hāʻawi ia i nā hana maʻamau ʻole lino o nā kino o loko, nā kino o ka kino.
ʻO nā loli nui i ka pae o ka glucose e hilinaʻi pololei i ka hana a me ke olakino o ka pancreas, nona ke kuleana no ka hōʻemi o ka holomua nui o ka insulin. Inā ulu ke kino i ka nui o ka hormon, hiki koke a ma hope paha i ka maʻi mellitus a ma hope. Ma muli o ke kumu, e ʻeha ka ʻōpio i kona ola a pau mai nā ʻano he koi, nā pilikia ʻole i ka hana o nā ʻōpū a me nā ʻōnaehana.
Pono e hoʻomanaʻo ʻia no hoʻokahi makahiki a me kahi keiki 15, a hānai loa i ke kō, hilahila nāʻaina kō.
Hoʻopuka i ka lāʻau lapaʻau a me ke kōkua noʻonoʻo
ʻO ke kumu o ka mālamaʻai kūpono ʻoi aku ka meaʻai kūpono, pono kekahi e hele i ka ʻōpio ma ka liʻiliʻi liʻiliʻi loa o nā meaʻai me ka momona momona a me nā kūmole. No kahi mea ola maikaʻi loa, nā palaka, nā momona a me nā mea i kālai ʻia i loko o kahi hapa like ʻole - 1: 1: 4. Me ka hyperglycemia a i ʻole kahi predisposition i ka maʻi maʻi, ka pākuana ʻana ma muli penei: 1: 0.75: 3.5.
ʻO ka momona i hoʻopau ʻia me ka meaʻai, ʻo ia ka mea nui o ke kumu kanu. Inā kuhi ka ʻōpiopio i ka popo koko, ʻaʻole ia eʻai maʻalahi i ka nānā ʻana i nā kākela hoʻokaʻawale, hoʻokaʻawale i nā momona a me ka soda, hua waina, maiʻa, semolina a me ka pasta. Hoʻokomo ka mea maʻi i nā ʻāpana liʻiliʻi, ma kahi o 5 mau manawa i ka lā.
Pono nā mākua nona nā keiki a i loaʻa kahi predisposition e pili ana i ka maʻi diabetes i nā ʻōpio i nā kula maʻi maʻi ʻokoʻa. Aia nā papa papa ma laila, e kōkua ana e hoʻoponopono maʻalahi i ka maʻi maʻi.
Inā ʻike nā mākua i nā mea āpau e pili ana i ka maʻi diabetes, ʻaʻole lākou e hōʻeha a hele i nā papa, kahi e kamaʻilio ai nā keiki me nā ʻōpio ʻē aʻe me ka maʻi maʻi. Kōkua ia:
- ke hoʻomaopopo i ka ʻaʻole hoʻokahi wale nō ko lākou maʻi;
- e hana hou i kahi ala o ke ola hou;
- e aʻo pehea e hoʻokomo ai i ka insulin me ke kōkua ʻole.
He mea nui ia e pili ana i nā pilikia me ke kō e hāʻawi ai i kahi keiki maʻi me ka kōkua noʻonoʻo pono i ka manawa. Pono ia e hoʻomaopopo iā ia ke kahakaha piha, e kōkua ʻo ia e hoʻomaopopo a ʻike i ka ʻoiaʻiʻo o nā ola āpau ma kēlā me kēia.
ʻO ke wikiō i kēia ʻatikala e kamaʻilio e pili ana i ka pae o ke kō o ke koko a me nā ʻano o ka maʻi maʻi i ka wā ʻōpio.
